Individual
MARISA MOSES
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
CNP
Contact information
Practice address
301 DOE CT NE, RIO RANCHO, NM 87124-2577
(210) 248-6815
Mailing address
301 DOE CT NE, RIO RANCHO, NM 87124-2577
(210) 248-6815
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
61075
NM
Other
Enumeration date
08/13/2020
Last updated
08/13/2020
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